| Gastroenterology And Hepatology | |
|
1332 W Herndon Ave Suite Number 100 Fresno CA 93711-7118 | |
| (559) 435-1979 | |
| (559) 434-9988 |
| Full Name | Gastroenterology And Hepatology |
|---|---|
| Speciality | Internal Medicine |
| Location | 1332 W Herndon Ave, Fresno, California |
| Authorized Official Name and Position | Mufti Saadat Ahmed Farooqi (PRESIDENT) |
| Authorized Official Contact | 5594351979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology And Hepatology 513 E Mariners Cir Fresno CA 93720-0848 Ph: (559) 434-0281 | Gastroenterology And Hepatology 1332 W Herndon Ave Suite Number 100 Fresno CA 93711-7118 Ph: (559) 435-1979 |
| NPI Number | 1609953959 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 09/30/2011 |
| Medicare PECOS PAC ID | 7810997616 |
|---|---|
| Medicare Enrollment ID | O20061229000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609953959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A69294 (California) | Primary |
| Provider Name | Muftisaadat Ahmed Farooqi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275610503 PECOS PAC ID: 6002820040 Enrollment ID: I20060130000636 |
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